Imperial College London
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Dr Nicolas Newell

Faculty of Engineering, Department of Bioengineering

Lecturer
 
 
 
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Contact

 

n.newell09 Website

 
 
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Location

 

U501aSir Michael Uren HubWhite City Campus

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Summary

 

Publications

Citation

BibTex format

@article{Pearce:2020:10.1308/rcsann.2019.0135,
author = {Pearce, AP and Marsden, M and Newell, N and Hancorn, K and Lecky, F and Brohi, K and Tai, N},
doi = {10.1308/rcsann.2019.0135},
journal = {Annals of the Royal College of Surgeons of England},
pages = {36--42},
title = {Trends in admission timing and mechanism of injury can be used to improve general surgical trauma training},
url = {http://dx.doi.org/10.1308/rcsann.2019.0135},
volume = {102},
year = {2020}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - INTRODUCTION: The temporal patterns and unit-based distributions of trauma patients requiring surgical intervention are poorly described in the UK. We describe the distribution of trauma patients in the UK and assess whether changes in working patterns could provide greater exposure for operative trauma training. METHODS: We searched the Trauma Audit and Research Network database to identify all patients between 1 January 2014 to 31 December 2016. Operative cases were defined as all patients who underwent laparotomy, thoracotomy or open vascular intervention. We assessed time of arrival, correlations between mechanism of injury and surgery, and the effect of changing shift patterns on exposure to trauma patients by reference to a standard 10-hour shift assuming a dedicated trauma rotation or fellowship. RESULTS: There were 159,719 patients from 194 hospitals submitted to the Network between 2014 and 2016. The busiest 20 centres accounted for 57,568 (36.0%) of cases in total. Of these 2147/57,568 patients (3.7%) required a general surgical operation; 43% of penetrating admissions (925 cases) and 2.2% of blunt admissions (1222 cases). The number of operations correlated more closely with the number of penetrating rather than blunt admissions (r = 0.89 vs r = 0.51). A diurnal pattern in trauma admissions enabled significant increases in trauma exposure with later start times. CONCLUSIONS: Centres with high volume and high penetrating rates are likely to require more general surgical input and should be identified as locations for operative trauma training. It is possible to improve the number of trauma patients seen in a shift by optimising shift start time.
AU  - Pearce,AP
AU  - Marsden,M
AU  - Newell,N
AU  - Hancorn,K
AU  - Lecky,F
AU  - Brohi,K
AU  - Tai,N
DO  - 10.1308/rcsann.2019.0135
EP  - 42
PY  - 2020///
SN  - 0035-8843
SP  - 36
TI  - Trends in admission timing and mechanism of injury can be used to improve general surgical trauma training
T2  - Annals of the Royal College of Surgeons of England
UR  - http://dx.doi.org/10.1308/rcsann.2019.0135
UR  - https://www.ncbi.nlm.nih.gov/pubmed/31660752
UR  - https://publishing.rcseng.ac.uk/doi/10.1308/rcsann.2019.0135
UR  - http://hdl.handle.net/10044/1/85238
VL  - 102
ER  -
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